Indian Journal of Health Sciences and Biomedical Research KLEU (Jan 2018)

A randomized controlled trial to evaluate the efficacy of Karpura Ghrita as a topical analgesic with lignocaine jelly 2% in posthemorrhoidectomy pain

  • Vivek Rajeshwar Shukla,
  • Amruta Ashok Wali,
  • TajAhmed NoorAhmed Dongargaon

DOI
https://doi.org/10.4103/kleuhsj.kleuhsj_127_17
Journal volume & issue
Vol. 11, no. 1
pp. 60 – 64

Abstract

Read online

INTRODUCTION: Effective postoperative pain control is an essential component of the care of the surgical patient. Uncontrolled pain may cause restlessness and thereby delay in wound healing. Haemorrhoids are certainly one of the commonest ailments that afflict mankind. NSAID's have been traditionally been used to relieve pain after minor or major surgery. There are many modes of treating the local pain like by lignocaine Jelly2%, glycerine packing, diclofenac suppository which reduces the pain but they may bring delayed wound healing. The use of Karpura-Ghrita is mentioned in classics after shastrakriya for Pain (Vedana) management. Hence, this study is planned to evaluate the effect of Karpura-Ghritaan topical analgesic in post haemorrhoidectomy pain. AIM: To evaluate the analgesic effect of KarpuraGhrita OBJECTIVES: To evaluate the analgesic effect of KarpuraGhrita with Lignocaine jelly 2% gauze packing in post-operative Haemorrhoidectomy. MATERIALS AND METHODS: 30 patients who undergone haemorrhoidectomy under local anaesthesia, fulfilling the inclusion criteria were randomly selected from I.P.D of Shalyatantra of KLEU's Shri BMK Ayurveda Mahavidyalaya, Belgavi and divided into Group 1 and Group 2 comprising of 15 patients each. Group 1 (study group) was treated with KarpuraGhrita gauze packing and Group 2 (control group) was treated with lignocaine jelly 2% gauze packing after Haemorrhoidectomy. Patients were assessed for requirement of 1st dose of analgesic and Pain assessed by Verbal Descriptive Scale. OBSERVATIONS AND RESULTS: Pain score by Kruskalwallis multiple comparison test showed significant result in both the groups. Pain score between the two groups was evaluated by Mann-Whitney U test which showed non-significant result. CONCLUSION:KarpuraGhrita has shown analgesic effect. Both the drugs have shown significant effect in post haemorrhoidectomy pain management.

Keywords